Infection plays an important role in the pathogenesis and mortality in ACLF.23 One recent study showed that independent predictors of poor 30-day survival of ACLF included infection-related ACLF (I-ACLF), admission values of high MELD, and low albumin.24 In our study, the incidence of SBP was quite high in the patients. This evidence concerns the gene ALB and infection.